Brighton Academy Early Childhood Education LLP

5 CSR 25-500.052 (2) (D) · Annual Requirements

The facility is owned by a legal entity and evidence of good standing was not available.

Required correction: The facility shall submit evidence that the legal entity is in good standing with the Missouri Secretary of State and state law.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in pre-k & preschool rooms was/were not in good condition as evidenced by paint chipping/exposed drywall.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in infant and toddler rooms was/were not clean as evidenced by dusty vents and light fixture.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 5. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by no resilient material was present.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, carousel, in in preschool playground was not in good condition as evidenced by chipping paint/exposed rust.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Brooklyn Stadel, who was hired on 6/15/2026.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: P.S. 2 hours.

Required correction: Required training hours shall be documented for each employee.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for B.G., E.L., C.P., J.A., D.R. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) .

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Bezzawit Grebretsadik,Chelsea Leflam, Jamie Axtell.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.B., D.R., and B.S. (volunteer).

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 17, 2026

Hazardous items as follows were accessible to children: super glue, scissors, diaper creams. The item(s) was/were located in unlocked drawers.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in infant and toddler rooms was/were not clean as evidenced by dusty vents and light fixture.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in pre-k & preschool rooms was/were not in good condition as evidenced by paint chipping/exposed drywall.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 5. · Physical Requirements of Group Day Care Homes and Day Care Centers

The fall-zone area under and around outdoor equipment where children might fall and be injured was not covered with impact-absorbing materials to cushion a fall as evidenced by no resilient material was present.

Required correction: The facility shall maintain approved resilient material in all fall-zone areas.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, carousel, in in preschool playground was not in good condition as evidenced by chipping paint/exposed rust.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.102 (3) (C) · Personnel

A caregiver did not obtain one clock hour of training for each month of employment. The staff listed need the following information: P.S. 2 hours.

Required correction: Required training hours shall be documented for each employee.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for Brooklyn Stadel, who was hired on 6/15/2026.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) .

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: Bezzawit Grebretsadik,Chelsea Leflam, Jamie Axtell.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports

Medical examination report(s) was/were not on file for B.G., E.L., C.P., J.A., D.R. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.B., D.R., and B.S. (volunteer).

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.052 (2) (A) · Annual Requirements · Correction due December 22, 2025

The annual fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2025

The walls located in main bathroom was/were not in good condition as evidenced by paint peeling on stall.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2025

The ceilings located in toddler room and main bathroom was/were not in good condition as evidenced by dust build up on hanging lamp cords and vent not secure .

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 18, 2025

There was evidence of dirt/debris in toddler room (covering on exercise stairs dirty) & preschool room (sticky residue and contact paper peeling off tables).

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 11, 2025

Hazardous items as follows were accessible to children: scissors and disinfectant spray . The item(s) was/were located on desks and low shelf.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (VI) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due December 11, 2025

Flooring did not meet requirements as evidenced by washable area rugs were not laundered daily.

Required correction: Floors shall be made of approved materials; floor coverings and rugs cleaned and sanitized as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in toddler room and main bathroom was/were not in good condition as evidenced by dust build up on hanging lamp cords and vent not secure .

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 9. · Physical Requirements of Group Day Care Homes and Day Care Centers

There was evidence of dirt/debris in toddler room (covering on exercise stairs dirty) & preschool room (sticky residue and contact paper peeling off tables).

Required correction: The facility shall be clean and pest free.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in main bathroom was/were not in good condition as evidenced by paint peeling on stall.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.052 (2) (A) · Annual Requirements

The annual fire safety inspection was not approved.

Required correction: The facility shall submit evidence of compliance with annual fire safety requirements.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 30, 2025

The premises were not safe and suitable as evidenced by a infant/toddler classroom and a twos classroom that had sliding barn doors which pose a hazard as they can be pulled and could pinch or entrap children.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 30, 2025

The walls located in early preschool and early learners was/were not in good condition as evidenced by chipping paint .

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (1) (A) · Physical Requirements of Group Day Care Homes and Day Care Centers

The premises were not safe and suitable as evidenced by a infant/toddler classroom and a twos classroom that had sliding barn doors which pose a hazard as they can be pulled and could pinch or entrap children.

Required correction: The premises shall be safe and suitable for the care of children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in early preschool and early learners was/were not in good condition as evidenced by chipping paint .

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 26, 2025

The walls located infant and early learner-tots was/were not clean as evidenced by sticky residue.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located in early preschool and early learners was/were not in good condition as evidenced by chipping paint .

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (III) · Physical Requirements of Group Day Care Homes and Day Care Centers (2) (B) 2. B. · Correction due June 26, 2025

The space for infants and toddlers is not separated by floor-to-ceiling walls.

Required correction: Infant/toddler space shall be separated from other child care space by floor-to-ceiling walls. (GF)

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due June 26, 2025

Furniture/equipment, table , in early learners was not in good condition as evidenced by laminate peeling.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 30, 2025

The walls located in preschool room was/were not clean as evidenced by sticky residue.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due January 13, 2025

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: K.B. .5 hrs.; Ashley Drath-needs 8.5 hrs.; Brittany Gates-needs 1 hr.; Melissa Hernandez-needs 12 hrs.; McKenzie Caster-needs 12-hrs.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 9, 2024

The ceilings located in infant and toddler rooms was/were not clean as evidenced by stained tiles.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: K.B. .5 hrs.; Ashley Drath-needs 8.5 hrs.; Brittany Gates-needs 1 hr.; Melissa Hernandez-needs 12 hrs.; McKenzie Caster-needs 12-hrs.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2024

The floors located in two year old room and on stairs was/were not in good condition as evidenced by tape peeling off floor and stains on carpet.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 12, 2024

The walls located preschool room was/were not clean as evidenced by dusty fan.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due September 10, 2024

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.087 (2) (F) · Fire Safety · Correction due July 8, 2024

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due July 8, 2024

Outdoor equipment, trike merry-go-round, in preschool playground was not in good condition as evidenced by chipping paint.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due September 12, 2024

Safe sleep training was not completed within the past 3 years for the following staff B.G. and J.W.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.102 (1) (P) · Personnel · Correction due July 8, 2024

The facility did not conduct a Family Care Safety Registry screening for McKinnley Zismer, who was hired on 6/11/2024.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-600.020 (1) · General Requirements · Correction due July 8, 2024

Criminal background check results were not on file for M.Z.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.082 (1) (I) · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due June 11, 2024

Hazardous items as follows were accessible to children: Coppertone sunscreen and wall flower bulb. The item(s) was/were located in an unlocked drawer.

Required correction: Hazardous items shall be inaccessible to children.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The ceilings located in infant and toddler rooms was/were not clean as evidenced by stained tiles.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by black ground covering exposed creating a tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in two year old room and on stairs was/were not in good condition as evidenced by tape peeling off floor and stains on carpet.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The walls located preschool room was/were not clean as evidenced by dusty fan.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.087 (2) (F) · Fire Safety

Requirements of 19 CSR 30-62.087 Fire Safety were not met as evidenced by fire drills were not held at least one time each month.

Required correction: Fire, tornado, and other disaster drills shall be completed and recorded as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, trike merry-go-round, in preschool playground was not in good condition as evidenced by chipping paint.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.102 · Personnel (4) (A) .

Safe sleep training was not completed within the past 3 years for the following staff B.G. and J.W.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.102 (1) (P) · Personnel

The facility did not conduct a Family Care Safety Registry screening for McKinnley Zismer, who was hired on 6/11/2024.

Required correction: Required results of the Family Care Safety Registry screening shall be on file.

5 CSR 25-500.102 (3) (A) · Personnel

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2023, the staff listed need the following information: K.B. .5 hrs.; Ashley Drath-needs 10.5 hrs.; Brittany Gates-needs 1 hr.; Melissa Hernandez-needs 12 hrs.; McKenzie Caster-needs 12-hrs.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-600.020 (1) · General Requirements

Criminal background check results were not on file for M.Z.

Required correction: Required results of criminal background checks shall be on file.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 19, 2023

The facility's outdoor space was not safe for children's activities as evidenced by ground covering exposed, creating tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due January 19, 2024

The floors located in two's room and at the bottom of stairs was/were not in good condition as evidenced by flooring broken.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due February 15, 2024

The floors located toddler room was/were not clean as evidenced by dirty area rug under climbing toy.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C. · Correction due December 27, 2023

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D. · Correction due December 27, 2023

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials · Correction due February 15, 2024

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available.

Required correction: Safe and secure feeding equipment shall be provided as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due February 13, 2024

Outdoor equipment, climber and bike-merry-go-round, in main play area was not in good condition as evidenced by chipping paint.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.042 (13) (B) · Licensing Process · Correction due December 13, 2023

The name, address and telephone number of the owner(s) was not prominently posted near the license.

Required correction: The name, address, and phone number of the owner shall be posted near the license.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located in two's room and at the bottom of stairs was/were not in good condition as evidenced by flooring broken.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (6) (A) 4. · Physical Requirements of Group Day Care Homes and Day Care Centers

The facility's outdoor space was not safe for children's activities as evidenced by ground covering exposed, creating tripping hazard.

Required correction: The outdoor play area shall be clean, safe and well-maintained as required.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers

The floors located toddler room was/were not clean as evidenced by dirty area rug under climbing toy.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due December 13, 2023

The floors located preschool room was/were not in good condition as evidenced by circles peeling off floor.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due December 13, 2023

Furniture/equipment, book shelf, in early learners room was not in good condition as evidenced by wood chipping off bottom.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. C.

The facility does not have evidence that the crib meets the Consumer Product Safety Commission and ASTM International safety standards.

Required correction: Sleeping equipment shall meet safety requirements.

5 CSR 25-500.092 · Furniture, Equipment and Materials (1) (B) 2. D.

Requirements for the crib mattress/playpen padding/bedding were not met as evidenced by a fitted sheet was not used.

Required correction: Sleeping equipment shall meet safety and sanitation requirements.

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by the restraints were not available.

Required correction: Safe and secure feeding equipment shall be provided as required.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials

Outdoor equipment, climber and bike-merry-go-round, in main play area was not in good condition as evidenced by chipping paint.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.092 (1) (C) 2. · Furniture, Equipment and Materials · Correction due December 13, 2023

Requirements for feeding equipment for infants and toddlers who are unable to sit at a table were not met as evidenced by no restraints are used.

Required correction: Safe and secure feeding equipment shall be provided as required.

5 CSR 25-500.102 (3) (A) · Personnel · Correction due September 27, 2023

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: K.B. 5 hours; Kacie Alber-needs 5 hours; Casey McIntire-needs .5 hours; Jessica Williams-needs 2 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 31, 2023 · No longer displayed by the state

The ceilings located in infant room and twos rooms was/were not in good condition as evidenced by broken and stained tiles, and dusty vent covers.

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.082 (2) (A) 6. · Physical Requirements of Group Day Care Homes and Day Care Centers · Correction due July 31, 2023 · No longer displayed by the state

The floors located in early learners, threes, and pre-k rooms was/were not clean as evidenced by sticky residue/tape peeling .

Required correction: Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.

5 CSR 25-500.092 (3) (A) · Furniture, Equipment and Materials · Correction due July 27, 2023 · No longer displayed by the state

Outdoor equipment, trikes, in large playground was unsafe as evidenced by missing pedals.

Required correction: Outdoor play equipment shall be safe and in good repair.

5 CSR 25-500.092 (1) (A) 1. · Furniture, Equipment and Materials · Correction due July 31, 2023 · No longer displayed by the state

Furniture/equipment, shelf and table, in toddler room and preschool room was not in good condition as evidenced by sticky residue and ripped contact paper.

Required correction: The facility shall provide safe and clean furniture/equipment as required.

5 CSR 25-500.102 (3) (A) · Personnel · No longer displayed by the state

The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2022, the staff listed need the following information: K.B. 5 hours; Kacie Alber-needs 5 hours; Casey McIntire-needs .5 hours; Jessica Williams-needs 2 hours.

Required correction: Required training hours shall be documented for each caregiver.

5 CSR 25-500.102 · Personnel (4) (A) . · Correction due September 19, 2023 · No longer displayed by the state

Safe sleep training was not completed within the past 3 years for the following staff J.W. & Josh Woods.

Required correction: The director, group home provider, other caregivers, and those volunteers counted in staff/child ratio, shall complete department-approved safe sleep training as required.

5 CSR 25-500.122 · Medical Examination Reports (1) (B) . · Correction due September 19, 2023 · No longer displayed by the state

A medical examination report did not include either a Risk Assessment for Tuberculosis form or a negative tuberculin skin test (TST) for the following staff: A.D., B.G., N.H., M.S., J.W.

Required correction: Medical examination reports shall include Risk Assessment for Tuberculosis forms or negative tuberculin skin test (TST) as required.

5 CSR 25-500.122 (1) (A) · Medical Examination Reports · Correction due September 19, 2023 · No longer displayed by the state

Medical examination report(s) was/were not on file for K.B., A.D., B.G., N.H., M.S., J.W. as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.

Required correction: Medical reports shall be on file as required.

5 CSR 25-600.020 (1) · General Requirements · Correction due August 2, 2023 · No longer displayed by the state

Criminal background check results were not on file for J.A. & McKenzie Caster.

Required correction: Required results of criminal background checks shall be on file.